Polysulfone hemodialyzer

Abstract

An object of the present invention is to provide a polysulfone hemodialyzer with large membrane area that exhibits an unprecedented high dialytic performance over a wide molecular weight range from urea to β2-microglobulin. There is provided a polysulfone hemodialyzer having a membrane area of >2.4 but ≦3.2 m2 and a dialysate rectifying portion with specified broadening at end portion of bundle, the polysulfone hemodialyzer achieves the above object.

Description

TECHNICAL FIELD[0001]The present invention relates to a hemodialyzer filled with polysulfone hollow fiber membranes which is used for hemodialysis, hemofiltration, or hemodiafiltration in the treatment of renal failure. More particularly, the present invention relates to a polysulfone hemodialyzer with a large membrane area which exhibits excellent solute removal performance over a wide molecular weight range even under use conditions in which a high blood flow rate or a high dialysate flow rate is employed.BACKGROUND ART[0002]When partial or complete dysfunction of the kidney has occurred, wastes which must be excreted from the body as urine accumulate in the blood, and the electrolyte balance in the body is lost. As a method of remedying such renal failure symptoms, an extracorporeal circulation therapy using a hemodialyzer has been widely conducted in which wastes in blood are excreted from the body utilizing the diffusion / filtration principle and the electrolyte balance is adjus...

AI Technical Summary

Benefits of technology

[0039]The polysulfone hemodialyzer according to the present invention can exhibit a high dialysis performance in comparison with a known hemodialyzer over a wide molecular weight range, from urea with a low molecular weight to β2-microglobulin with a high molecular weight, even though the polysulfone hemodialyzer has a large membrane area exceeding 2.4 m2. The polysulfone hemodialyzer according to the present invention can exhibit a high dialysis performance without requiring an additional structure member or an additional structural treatment such as a spacer fiber or crimping or a complicated housing structure such as a slit baffle.

[0040]Since the polysulfone hemodialyzer according to the present invention has a large membrane area in comparison with known hemodialyzers, the polysulfone hemodialyzer according to the present invention is suitable for treating a big physique patient who weighs more than 176 pounds, for example. Moreover, desired treatment effects can be obtained in shorter period of time by carrying out dialysis at a higher blood flow rate and a higher dialysate flow rate than conventional.

Problems solved by technology

When partial or complete dysfunction of the kidney has occurred, wastes which must be excreted from the body as urine accumulate in the blood, and the electrolyte balance in the body is lost.

However, since the surface of the resulting membrane exhibits too high a hydrophobicity when using only the polysulfone polymer, a small amount of hydrophilic polymer is practically used in combination with the polysulfone polymer.

However, the membrane areas of hemodialyzers with a large membrane area which have been put to practical use and are available as various products are limited to 2.2 m2 or less.

Furthermore, it is well known that the membrane material for the former hemodialyzer exhibits poor biocompatibility in comparison with the polysulfone.

The inventors have got suspicious about the fact that polysulfone hemodialyzers with a large membrane area have not been put to practical use in spite of a great demand, and examined the relationship between the membrane area and the dialysis performance of commercially available polysulfone hemodialyzers for solutes with different molecular weights.

According to the finding of the inventors, however, the balance of the dialysis performance is significantly lost when the membrane area exceeds 2 m2.

One hemodialyzer (crimped polysulfone hollow fiber membranes, peripheral type baffle with slits) exhibited excellent dialysis performance for β2-microglobulin with a high molecular weight, but exhibited insufficient dialysis performance for urea.

Another hemodialyzer (spacer fibers twining polysulfone hollow fiber membranes, peripheral type baffle with sloping slits) exhibited excellent dialysis performance for vitamin B12 which is a medium molecular weight marker, but exhibited insufficient dialysis performance for urea.

Yet another hemodialyzer (spacer fibers twining polyarylethersulfone hollow fiber membranes, peripheral type baffle) also exhibited insufficient dialysis performance for urea.

However, a polysulfone hemodialyzer with a membrane area exceeding 2 m2 exhibits insufficient dialysis performance for urea.

However, when several thousands of hollow fiber membranes are bound and filled in the hemodialyzer, a portion in which the dialysate does not sufficiently reach the surfaces of the membranes occurs in the hemodialyzer, whereby a nonuniform flow of the dialysate occurs.

As a result, the hemodialyzer always suffers from a problem in which the individual hollow fiber membranes cannot maximally exhibit their inherent substance permeability.

This increases the blood side and dialysate side pressure drop, whereby incensing the risk that the dialysate contaminant likely flows into the blood side due to hemolysis or reverse filtration.

However, these technologies result in an increase in the diameter of the bundle or an increase in the size of the hemodialyzer.

Moreover, reverse filtration may be increased due to an increase of pressure drop in the dialysate side.

However, any of these technologies complicate the structure of the housing.

As described above, when improving the shape of the bundle or the shape of the housing in addition to the entire shape, the dialysis performance is improved although some disadvantages occur due to an increase in the diameter of the bundle or a complicated housing structure.

Images